Gastric Volvulus After Laparoscopic Adjustable Gastric Banding for Morbid Obesity

Gastric Volvulus After Laparoscopic Adjustable Gastric Banding for Morbid Obesity

Since it was approved for the management of morbid obesity in the United States in 2001 [1], laparoscopic adjustable gastric banding has become..

Since it was approved for the management of morbid obesity in the United States in 2001 [1], laparoscopic adjustable gastric banding has become an increasingly popular form of bariatric surgery. Some surgeons favor laparoscopic adjustable gastric banding over Roux-en-Y gastric bypass because it is a less invasive procedure with a lower morbidity and mortality

Unenhanced axial abdominal CT scan shows air–fluid level in dilated stomach (black arrow) with radiopaque gastric band (white arrow) medial to dilated portion of stomach.

Steep right posterior oblique spot image from single-contrast radiographic examination of upper gastrointestinal tract shows slippage of band to distal portion of stomach with tapered narrowing of lumen (small white arrow) where it traverses band (black arrows) and complete gastric outlet obstruction (no barium distal to band). Second area of tapered narrowing (large white arrows) is evident in distal portion of esophagus adjacent to band. E = esophagus, S = stomach.

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